Provider Demographics
NPI:1285982546
Name:SMITH, DANNA RENEE' (RN)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:RENEE'
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 W CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:PICKRELL
Mailing Address - State:NE
Mailing Address - Zip Code:68422-8096
Mailing Address - Country:US
Mailing Address - Phone:402-230-9067
Mailing Address - Fax:
Practice Address - Street 1:2223 W CEDAR RD
Practice Address - Street 2:
Practice Address - City:PICKRELL
Practice Address - State:NE
Practice Address - Zip Code:68422-8096
Practice Address - Country:US
Practice Address - Phone:402-230-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE73945163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse